Electronic health records (EHRs) have become ubiquitous tools and represent the standard of care for 96% of hospitals and 86% of ambulatory physicians in the United States. With adoption of EHRs came the promise of improved efficiency, higher quality care, and lower costs. Unfortunately, some clinicians are now spending twice as much time on documentation as they spend seeing patients, and the documentation paradigm of problem-oriented medical records is contributing to this imbalance. It is time to consider new innovations. In this panel, we present several ways that we can overturn the current paradigm, with a focus on increased readability, shareability, and information channels other than raw text. Clinical documentation serves many masters and exists within a complex regulatory environment, but we will tackle the implications of change head-on. We anticipate that this panel will be of interest to innovators and disruptors across the care continuum.

Learning Objective:
Upon completion of this panel, attendees will be able to:
1. Understand why the current clinical documentation paradigm exists, and what can be done to improve it
2. Enumerate some strengths and weakness of the collaborative wiki for clinical documentation
3. Consider ways in which patients can interact with documentation, including co-editing
4. Anticipate the role that voice-based agents will play in both the information retrieval and data creation stages of clinical care
5. Name at least three examples of where visualizations can be preferable to written documentation


Yaa Kumah-Crystal (Presenter)
Vanderbilt University

Liz Salmi (Presenter)

Chethan Sarabu (Presenter)
Stanford University

Jeffery Smith (Presenter)

Jeremy Warner (Presenter)
Vanderbilt University

Presentation Materials: